聚酯缝线Nice结固定横行髌骨骨折
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1.临泉县人民医院;2.安徽医科大学第一附属医院

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阜阳市卫健委科研课题面上项目


Polyester suture combined with Nice knot fixation for treatment of transverse patella fracture
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Affiliation:

1.Linquan County People'2.'3.s Hospital;4.First Affiliated Hospital,Anhui Medical University

Fund Project:

General project of scientific research project of Fuyang Municipal Health Commission

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    摘要:

    [目的]介绍聚酯缝线结合Nice结内固定治疗横行髌骨骨折的手术技术和初步临床效果。[方法] 对20例横行髌骨骨折患者采用聚酯缝线联合Nice结完成复位内固定治疗。膝前正中切口,复位骨折后沿髌骨纵轴建立4条均匀分布的骨隧道。使用5#不可吸收聚酯缝线经临近关节面的2条骨隧道穿线后于髌骨表面行“8”字捆扎,再使用5#不可吸收聚酯缝线经另外2条骨隧道行环形捆扎,均以Nice结固定。[结果] 全部患者均顺利完成手术,无严重并发症。20例研究对象均获随访,随访时间 12~18个月。所有随访病例骨折均获愈合。末次随访时,B?stman髌骨骨折功能评分平均(28.3±1.6)分,膝关节最大活动度为 (132.3±4.2)°,依据B?stman髌骨骨折功能评分标准:所有病例患膝功能达优良级。[结论] 聚酯缝线联合Nice结固定治疗横行髌骨骨折具有固定确实,无需再次手术取出内固定的优势,短期临床疗效满意。

    Abstract:

    [Objective]To introduce the surgical technique and preliminary clinical results of Polyester suture combined with Nice knot for treatment of transverse patella fracture. [Methods]20 patients with transverse patellar fracture were treated using non-absorbable polyester suture combined with Nice knot.Anterior midline incision of the knee ,Four evenly distributed bone tunnels were established along the longitudinal axis of the patella after reduction of fracture. Figure of eight tension band was performed on the surface of the patella after threading through the two bone tunnels near articular surface with 5 # non-absorbable polyester suture,then circular band was performed with 5 # non-absorbable polyester suture in the other two bone tunnels,all of which were fixed with Nice knot.[Results]All patients successfully completed the operation without serious complications. All 20 subjects were followed up for 12 to 18 months,all of them achieved fracture healing. At the latest follow-up,the average B?stman patellar fracture function score was (28.3±1.6),and the maximum range of motion of the knee joint was (132.3 ± 4.2)°.According to the B?stman patellar fracture function score,the knee function of all patients reached excellent grade.[Conclusion]Polyester suture combined with Nice knot for the treatment of transverse patellar fracture has the advantages of reliable fixation, less complications,and no need for reoperation to remove the internal fixation.The short-term clinical effect is satisfactory.

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  • 收稿日期:2023-03-13
  • 最后修改日期:2023-05-19
  • 录用日期:2023-10-09
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